[Laryngopharyngeal reflux--own experience in diagnosis and treatment]. / Laryngologiczny obraz refluksu krtaniowo-gardlowego--doswiadczenia wlasne w diagnozowaniu i leczeniu.

INTRODUCTION: For many years the specialists have been interested in gastroesophageal reflux. The aim of the work is to present our experience in the diagnosis and the treatment of laryngopharyngeal reflux. MATERIAL AND METHODS: We studied 60 patients (35 women and 25 men) aged 25 to 60 (average age - 43), with symptoms of reflux, hospitalized in ENT Department in the years 2010-2011. In all patients in ENT examination laryngitis were stated. Each patient was treated with 24-hour esophageal pH-impedance during gastrological consultation. In case of confirmed reflux disease proper diet and medication blocking the proton pomp were prescribed for a period of 3 months. The check-up included: patient interview, filling the questionnaire, ENT examination and gastrological consultation. The treatment was continued for the next 3 months with patients with sustaining problems of upper airway. RESULTS: Laryngopharyngeal reflux disease was confirmed in all examined patients. After 3 months over 80% patients finished the treatment, the other (13) patients finished their treatment after 6 months. CONCLUSIONS: ENT and gastrological consultations with 24-hour esophageal pH-impedance help with successful diagnosis and curing the reflux disease.

[Endoscopic adenotomy--clinical assessment of value and safety--an own experience]. / Ocena kliniczna wartosci i bezpieczenstwa adenotomii endoskopowej - doswiadczenia wlasne.

High number of performed adenotomies inclines ENT surgeons to introduce more and more satisfying concerning safety, accuracy and results predictability surgical techniques. The aim of our study was to assess the value and safety of an endoscopic surgical technique. The study was performed on 768 patients aged 7 months - 14 years. Group A (I) consisted of 453 patients on whom adenotomy was performed with use of Beckmann adenotome. Group B (II) consisted of 315 patients operated under endoscope control with the use of Jurasz forceps. An endoscopic technique gives remarkable decrease of intraoperative blood loss and eliminates post op bleedings, what increases patients safety. Low aggressiveness of an endoscopic technique compared to classic decreases incidents of undesirable post adenotomy signs and symptoms. In authors opinion, the results obtained during study, definitely prove the superiority of endoscopic technique--it is worth of introducing into daily surgical practice.

[Rhabdomyosarcoma embryonale of the middle ear at 55-year-old women]. / Rhabdomyosarcoma embryonale ucha srodkowego u.55-letniej chorej.

The study presents extremely rare of the middle ear rhabdomyosarcoma embryonale at 55-year women. Authors showed untypical clinical process and own suspect of neoplasm illness. In difficult cases of the middle ear chronic granulomatosis, classical HE histological method maybe not enough and should be extended as an immunohistochemical examination.